scholarly journals Gender Differences in Alcohol Treatment

Author(s):  
J Molly Blendberg ◽  
Svanlaug Àrnadottir ◽  
Kristine Tarp ◽  
Randi Bilberg

Abstract Aims Alcohol consumption is a threat to health worldwide and leads to substantial expenses for society. Previous studies have found differences between women and men regarding drinking behaviour and concluded that women need a more multipart type of alcohol use disorder (AUD) treatment. This study aims to examine the differences in outcome between women and men who have completed public outpatient alcohol treatment. Methods A total of 3452 patients, who completed AUD treatment from 2006 to 2018, were included in this follow-up study. Data were collected from the Odense Alcohol Treatment Database. Analyses were performed using a χ2 test and multiple logistic regression. Results The calculations showed that women in AUD treatment had a better outcome if they had children (AOR 0.46, P ≤ 0.001) or were living with a partner with AUD (AOR 0.25–0.33, P ≤ 0.001). Women had a worse outcome if they had a higher educational level (AOR 1.40–1.69, P ≤ 0.001) or were employed (AOR 1.66–1.78, P ≤ 0.001). Conclusions This study found that women had more problems associated with alcohol consumption than men, both before and after completion of AUD treatment. Women with employment or education had a poorer outcome than their male counterparts, whereas childcare responsibilities or having a partner with AUD provided a better outcome.

1990 ◽  
Vol 157 (2) ◽  
pp. 190-196 ◽  
Author(s):  
G. K. Shaw ◽  
Seta Waller ◽  
Sine McDougall ◽  
Jennie Macgarvie ◽  
Graham Dunn

One hundred and twelve alcoholic patients treated by an intensive one-month residential programme were followed up for one year. As a group, they were socially disadvantaged and highly dependent on alcohol. Outcome of treatment was assessed at six months and one year following discharge by multiple measures which included assessments of drinking behaviour, measurements of social stability, neuroticism and self-esteem, and self-ratings of satisfaction with important aspects of day-to-day living. During the first six months following treatment, 37% were abstinent or drinking in controlled fashion; during the second six months, 53% achieved this status. Improvement in drinking status was positively related to improvements in all other outcome variables.


Author(s):  
Göran Friman

Objective: To describe the distribution of risk, diagnosis and pharmacological treatments for diabetes and hypertension after seven years among patients provided with opportunistic medical screening in a dental setting. Material and Methods: The initial screening’s 170 participants were asked to take part in a seven-year follow-up study. Data were collected through self-reported information in a written health declaration. Outcome measures: • Number of study participants who had passed away • Prescription of antidiabetics or antihypertensives • Changes in weight and height to calculate body mass index (BMI) Results: The follow-up study consisted of 151 participants. Twenty had passed away. The risk needs for medicating with antihypertensive drugs after seven years for those not receiving pharmacological treatment at the initial screening was 3.7 times greater (p=0.025 CI 1.2-11.3) for participants with a diastolic blood pressure (BP) ≥ 90 mm Hg (85 for diabetics) than for the others. The risk was 3.9 times greater (p=0.020 CI 1.2-12.6) for those with a systolic BP of 140-159 mm Hg and 54.2 times greater (p<0.0001 CI 9.8-300.3) for those with a systolic BP ≥ 160 mm Hg than for those with a systolic BP 140 mm Hg. There were no changes in BMI. Conclusion: At least one in ten cases of incorrect medication or undiagnosed hypertension may be identifiable through opportunistic medical screening


2021 ◽  
pp. 1-24
Author(s):  
Renuka Jayatissa ◽  
Himali Herath ◽  
Amila Gayan Perera ◽  
Thulasika Thejani Dayaratne ◽  
Nawmali Dhanuska De Alwis ◽  
...  

Abstract Objectives: To determine changes and factors associated with child malnutrition, obesity in women and household food insecurity before and after the first wave of COVID-19 pandemic. Design: A prospective follow up study. Setting: In 2019, the baseline Urban Health and Nutrition Study (UHNS-2019) was conducted in 603 households, which were selected randomly from 30 clusters to represent underserved urban settlements in Colombo. In the present study, 35% of households from the UHNS-2019 cohort were randomly selected for repeat interviews, one year after the baseline study and 6 months after COVID-19 pandemic in Sri Lanka. Height/length and weight of children and women were re-measured, household food insecurity was reassessed, and associated factors were gathered through interviewer administered questionnaires. Differences in measurements at baseline and follow-up studies were compared. Participants: A total of 207 households, comprising 127 women and 109 children were included. Results: The current prevalence of children with wasting and overweight was higher in the follow-up study than at baseline UHNS-2019 (18.3%vs13.7%;p=0.26 and 8.3%vs3.7%;p=0.12 respectively). There was a decrease in prevalence of child stunting (14.7%vs11.9%;p=0.37). A change was not observed in overall obesity in women, which was around 30.7%. Repeated lockdown was associated with a significant reduction in food security from 57% in UHNS-2019 to 30% in the current study (p<0.001). Conclusions: There was an increase in wasting and overweight among children while women had a persistent high prevalence of obesity. This population needs suitable interventions to improve nutrition status of children and women to minimise susceptibility to COVID-19.


Author(s):  
Soundarya Soundararajan ◽  
Arpana Agrawal ◽  
Meera Purushottam ◽  
Shravanthi Daphne Anand ◽  
Bhagyalakshmi Shankarappa ◽  
...  

Alcohol ◽  
2020 ◽  
Vol 89 ◽  
pp. 43-48
Author(s):  
Min-Gyu Yoo ◽  
Yoo Jeong Lee ◽  
Han Byul Jang ◽  
Hyo-Jin Kim ◽  
Hye-Ja Lee ◽  
...  

1974 ◽  
Vol 19 (1) ◽  
pp. 25-30 ◽  
Author(s):  
John F. C. Mclachlan

The Conceptual Level (CL) matching model which previously predicted the immediate response of alcoholics to group psychotherapy was tested in a follow-up study of drinking behaviour. Seventy percent of patients matched to their therapist in terms of CL were found to have stopped drinking a year after treatment. By comparison, only 50 percent of the mismatched patients had stopped. Furthermore, after-care matching was related to recovery: matched patients (high CL with out-of-town care and low CL with in-town care) showed a 71 percent recovery rate, while mismatched patients showed a 49 percent rate. The overall recovery rate was 61 percent for the 94 alcoholics studied.


1997 ◽  
Vol 13 (2) ◽  
pp. 205-211 ◽  
Author(s):  
Guilherme Borges ◽  
Roberto Tapia-Conyer ◽  
Malaquías López-Cervantes ◽  
María Elena Medina-Mora ◽  
Blanca Pelcastre ◽  
...  

In 1988, the General Directorate of Epidemiology and the Mexican Institute of Psychiatry conducted the first National Addiction Survey (ENA), providing regional and national data on alcohol, tobacco, and drug use. The ENA providing a subsample of women who have been pregnant at some time in their lives. There were 5,234 affirmative responses. Women were asked if they had suffered any of three adverse outcomes during their last pregnancy: spontaneous abortion, stillbirth, and congenital abnormalities. Prevalence of spontaneous abortion was 3.8%, stillbirth 1.2%, and congenital abnormalities 1.1 %. Multiple logistic-regression models were used to analyze the effect of alcohol consumption on these problems. Consumption during pregnancy was related only with the prevalence of congenital abnormalities, with prevalence odds of 3.4. Among habitual users during the last 12 months, oniy women in the highest use category showed an important relationship with the three problems mentioned. Follow-up studies on the Mexican population are recommended in order to obtain more conclusive findings.


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